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Zambia introduction
- 1. • An NPO working in public health sector, especially HIV/AIDS in South Africa • RTC through EQUIP, provides support in 17 PEPFAR countries with over 300 technical experts on the ground. • Supporting HIV programme implementation in 12 African Countries • GIS is an integral part of RTC health care programming and decision making • GIS activities providing key programmatic implementation support in Malawi, Zambia, Indonesia, Burundi, S. Africa Introduction & Background : Right to Care
- 2. Scaling Up Viral Load Implementation in Zambia: The challenge 2015 2016 2017 2018 2019 2020 Total number of patients on ART Total viral load testing volumes 787,840 8,548 869,732 105,000 954,144 453,492 1,041,617 745,118 1,132,699 974,720 1,227,953 1,232,533 % of patients accessing viral load 5% 10% 38% 57% 69% 80% Source: Viral Load Scale Up Implementation plan Zambia (2015) Zambia aims to scale up HIV treatment programmes and simultaneously increase VL testing volumes from 10% in 2016 to 80% by 2020 We are here We want to get here in 3 years
- 3. Logistics Project • BACKGROUND • Last Health Facility Assessment conducted in 2010 – approx. 1600 facilities mapped • By 2015 there were an additional 900 health facilities built which were not mapped and catalogued • As part of a wider Viral Load testing scaling up strategy the accurate location of health facilities in relation to testing labs needed to be found • CHALLENGES • In addition to the typical clinical and resources (financial & human) challenges; planning for VL scale up has been proved to be daunting. • no nationwide sample transport network exists. • Government and implementing partners responsible for arranging own transportation when transport is available. • Operational area (district) based planning instead of national • This results in erratic and unreliable sample delivery, and the inability for health facilities to plan blood draws for viral load.
- 4. • 2534 plus facilities in the country mapped. • 9 vehicles, each with GPS tracking devices, • Data was captured using the Survey 123 app deployed on our android devices • in-country field staff used to capture site level data • GIS Mapping was done in phases, • some facilities were mapped during the wet season, and those that were inaccessible were mapped during the dry season • 655 laboratories assessed by laboratory teams • Road data collected and analysed in collaboration with Tracks4Africa Data Collection - Field Results
Editor's Notes
- Total Number of patients